Tetralogy of Fallot

Customized Surgery to Repair Your Child's Heart

In infants born with tetralogy of Fallot, there is a hole between the right ventricle and left ventricle of the heart (ventricular septal defect) as well as an obstruction between the right ventricle and the pulmonary artery (pulmonary stenosis). As a result of these two abnormalities, oxygen-poor blood can bypass the lungs, enter the aorta, and produce cyanosis. Most children with this defect have open heart surgery to close the ventricular septal defect and remove the obstructing muscle. NewYork-Presbyterian's pediatric heart surgeons in the Congenital Heart Center are widely sought for their expertise in performing newborn heart surgery for problems such as tetralogy of Fallot.

Nationally Ranked:U.S.News & World Report has ranked our pediatric hospitals among the top pediatric cardiology and heart surgery programs in the country, reflecting our reputation and excellent surgical outcomes, the expertise of our surgical teams, our high volume of cases, and other data related to patient care.

One of the Largest Newborn Heart Programs: The largest referral center in New York State for babies born with congenital heart disease, we admit approximately 200 babies every year. From 2009 through 2012, we performed 150 procedures for tetralogy of Fallot. We have the highest survival rate in New York State for pediatric heart surgery and one of the highest in the United States — even though our surgeons routinely treat some of the most complex cases, with many children referred from other institutions.

Customized Treatment: We individualize the operation for your child, depending on his or her age, anatomy, and symptoms. This ensures the best chance of a good outcome.

Nationally Designated NICU: Our Neonatal Intensive Care Unit (NICU) is a nationally designated Level IIIC NICU. This means we have attained the highest recognition possible in neonatal intensive care, reserved for centers caring for the smallest and sickest newborns and supporting your child's chance of a good outcome. Your baby will receive compassionate, focused care from specialists experienced in the treatment of the tiniest patients with heart disorders.

Care for a Lifetime: We monitor your child's development and can provide any needed care into adulthood. For example, many children with tetralogy of Fallot require replacement of the pulmonary valve as adults. As an adult, your child can receive care through our Adult Congenital Heart Program, the first of its kind in the Tri-State area. This program features a team of board-certified pediatric and adult cardiologists, cardiothoracic surgeons, and intensive care experts specifically trained in adult congenital heart disease.